DR. MICHAEL JIN KIM


Address: 180 S 3rd St Ste 300, Belleville, IL 62220-1952
Phone: 6182567311

DR. MICHAEL JIN KIM (NPI# 1609289636) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1609289636
Entity Type Individual
Full Name DR. MICHAEL JIN KIM
Credential M.D.
Practice Address 180 S 3rd St Ste 300
Belleville
IL 62220-1952
Practice Telephone 6182567311
Enumeration Date 2014-06-06
Last Update Date 2019-08-27
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 207P00000X Emergency Medicine 036143899 IL Allopathic & Osteopathic Physicians
Y 207Q00000X Family Medicine 036.143899 IL Allopathic & Osteopathic Physicians

Other Providers MICHAEL KIM

NPI Name Taxonomy Address Enumeration
1346627742 Michael Kim Acupuncturist 22337 65th Ave, 1st Floor, Oakland Gardens, NY 11364-2313 2015-05-05
1174945273 Michael Jong-gyu Kim Dentist 27382 Calle Arroyo, San Juan Capistrano, CA 92675-2746 2014-01-09
1639441934 Michael Tonkyu Kim Dentist 2880 Old Dixwell Ave., Hamden, CT 06518 2012-02-01
1336476373 Michael Hwangsuk Kim Dentist 12865 Main St, #201, Garden Grove, CA 92840-8205 2009-11-12
1861658486 Michael Kim Anesthesiology 3757 Camino Cermenon, Yorba Linda, CA 92886-6213 2008-08-03
1609076512 Michael K Kim Chiropractor 8748 Garden Grove Blvd, Garden Grove, CA 92844-1251 2007-07-19
1164546313 Michael Sukkyu Kim Optometrist 1000 Seward Meridian Highway, Wasilla, AK 99654 2007-03-16
1689720468 Michael M Kim Otolaryngology 2525 Nw Lovejoy St Ste 402, Portland, OR 97210-2865 2007-01-26
1093870198 Michael S. Kim Dentist 2800 W Warner Ave, Suite G, Santa Ana, CA 92704-5466 2006-12-27
1295810554 Michael Ethan Kim Dentist 5322 Francis Lewis Blvd, 2nd Floor, Oakland Gardens, NY 11364-1633 2006-10-26

Office Location

Street Address 180 S 3RD ST STE 300
City BELLEVILLE
State IL
Zip Code 62220-1952

Providers in the same location

NPI Name Taxonomy Address Enumeration
1437243581 Molly Jo Nelsen Family Medicine 180 S 3rd St Ste 300, Belleville, IL 62220-1952 2006-10-03
1952830036 Stanley Jay Noll Family Medicine 180 S 3rd St Ste 300, Belleville, IL 62220-1952 2017-06-12
1083142152 Vincent Joseph Duenas Family Medicine 180 S 3rd St Ste 300, Belleville, IL 62220-1952 2017-06-01
1467992636 Thomas Schelby Family Medicine 180 S 3rd St Ste 300, Belleville, IL 62220-1952 2017-03-07
1336586650 Alex Robert Labounty Family Medicine 180 S 3rd St Ste 300, Belleville, IL 62220-1952 2013-05-28

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1144729716 St. Elizabeth's Hospital of The Hospital Sisters of The Third Order Of Clinic/Center 180 South Third Street Suite 101, Belleville, IL 62220 2018-02-08
1437675535 Prorehab PC Occupational Therapist 1915 Carlyle Ave, Ste D, Belleville, IL 62220 2017-08-21
1629527650 Arika Forrest Nurse Practitioner 140 Iowa Ave, Belleville, IL 62220 2016-10-03
1861861403 Belleville Endoscopy LLC Internal Medicine 311 West Lincoln St, Suite 101, Belleville, IL 62220 2015-09-24
1962871558 Antony Frierdich Specialist/Technologist 22 South 13th Street, Belleville, IL 62220 2015-09-24
1588032858 Dana Wright Pharmacist 211 South Thrid Street, Belleville, IL 62220 2015-09-03
1629208731 Lisa Marlow Johnson Developmental Therapist 34 Fenwood Dr, Belleville, IL 62220 2009-07-23
1841361623 Neurological Surgery of Belleville Neurological Surgery 340 West Lincoln Street, Suite 540, Belleville, IL 62220 2006-11-13
1689769119 Kathy Jo Corn Counselor 521 W. Main, Suite 201 B, Belleville, IL 62220 2006-10-03
1780609578 Southern Illinois Health Care Foundation, Inc. Counselor 180 S 3rd St Ste 103&104, Belleville, IL 62220 2006-07-13
Find all providers in zip 62220

Taxonomy Information

Taxonomy Code 207Q00000X
Grouping Allopathic & Osteopathic Physicians
Classification Family Medicine

Taxonomy Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition]
- Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences.
- Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1417591173 Dimi Dawn Resch Family Medicine 373 Roanoke Dr, Belleville, IL 62221-5723 2019-11-05
1013559749 Christine Evansco Family Medicine 105 S 35th St, Belleville, IL 62226-6314 2019-10-15
1851800288 Republic County Family Clinic, P.a. Family Medicine 2337 G St Ste 2, Belleville, KS 66935-2462 2017-09-28
1154854008 Kurtis William Klecan Family Medicine 2337 G St Ste 100, Belleville, KS 66935-2462 2017-04-07
1144753096 Ace Medical Services LLC Family Medicine 929 Ridgecrest Dr, Belleville, IL 62220-3163 2017-04-07
1558743138 Patrick Nakashima-moran Family Medicine 2900 Frank Scott Pkwy W Ste 904, Belleville, IL 62223 2015-06-19
1871993139 Wayne Bresee Cox II Family Medicine 10 Celeste Ct, Belleville, IL 62223-1907 2014-08-23
1811252547 Jianming Alexander Lau Family Medicine 201 3rd St 200, Belleville, MI 48111-2605 2012-07-09
1548531320 Donald H Buser Family Medicine 116 S Fairway Dr, Belleville, IL 62223-2228 2012-01-25
1275824096 Pc Associates LLC Family Medicine 2129 W. Main St., Belleville, IL 62223 2011-04-27
Find all providers in BELLEVILLE

Competitor

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City BELLEVILLE
Zip Code 62220

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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